• Current State of Nutrition Research and MAHA
    May 29 2025

    Takeaways:

    • The MAHA report aims to address public health issues but lacks actionable policies.
    • Historical context is crucial for understanding current dietary guidelines.
    • Funding for nutrition research has been inadequate, impacting the quality of data.
    • Public perception of nutrition often outpaces scientific evidence.
    • The evolution of dietary guidelines reflects political and social influences.
    • There is a need for more rigorous nutrition science to inform policy.
    • The dietary guidelines have not significantly improved population health metrics.
    • Political will is essential for implementing effective nutrition policies.
    • Nutrition science faces challenges in funding and research infrastructure.
    • The MAHA report's recommendations may be more performative than substantive. Food policy changes are often superficial and ineffective.
    • There is a significant disconnect between policy and actual health outcomes.
    • Nutrition science is underfunded and lacks high-quality research.
    • Misinformation in nutrition can lead to harmful public health outcomes.
    • The focus on food additives distracts from more pressing issues like obesity.
    • Experts are being sidelined in favor of political agendas.
    • Public trust in health recommendations has eroded post-COVID.
    • Nutrition policies need to be based on solid scientific evidence.
    • The food industry needs clearer guidance on reformulating products.
    • Future nutrition policies must prioritize public health over political gain

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    56 mins
  • Joy Prescriptions
    May 13 2025

    Click to read Joy Prescriptions

    Drs. Karl and Spencer talk to Dr. Tiffany Moon all about Joy Prescriptions. Learn how to stop chasing perfection and embrace connection.

    00:00Introduction to Dr. Tiffany Moon

    02:02Journey to Reality TV: The Real Housewives of Dallas

    05:58Life After Reality TV: Finding Joy and Purpose

    09:59The Joy Prescription: A New Approach to Life

    17:01Work-Life Integration: Balancing Career and Family

    22:09Empowering Women: The Lead Her Summit

    22:33Tiffany's Journey: From Childhood to Medical Success

    24:43The Quest for Joy: Breaking the Hedonic Treadmill

    26:42Finding Gratitude and Connection in Life

    28:37Coping Mechanisms: Humor and Self-Reflection

    29:57The Joy Prescription: A Path for High Achievers

    32:29Reconstructing Identity: Beyond External Validation

    35:37The Impact of Sports on Identity and Achievement

    40:54Closing Thoughts: Embracing Joy and Connection

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    47 mins
  • Zepbound versus Wegovy
    May 12 2025
    • Tirzepatide is more effective for weight loss than semaglutide.
    • Cost-effectiveness is crucial in prescribing weight loss medications.
    • Patients with severe obesity should receive more expensive medications for better outcomes.
    • Both medications show significant benefits for obesity-related conditions.
    • Long-term studies indicate sustained weight loss with both drugs.
    • Gender differences affect weight loss outcomes with these medications.
    • Safety profiles show tirzepatide may be better tolerated than semaglutide.
    • The need for affordable drug pricing is emphasized.
    • Clinical benefits extend beyond weight loss to include metabolic health.
    • Future studies are needed to confirm cardiovascular benefits of tirzepatide.

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    21 mins
  • Semaglutide for metabolic dysfunction associated steatotic liver disease (MASH).
    May 2 2025

    Takeaways

    • MASH is a significant obesity-related complication.
    • Semaglutide shows promise in treating MASH.
    • Weight loss is crucial for improving liver health.
    • Bariatric surgery remains the most effective treatment.
    • The Essence trial indicates a 63% resolution of NASH.
    • New medications are being developed for obesity treatment.
    • Early intervention is key to preventing severe liver damage.
    • Accessibility of medications is a major concern.
    • Comparative studies are essential for evaluating new treatments.
    • Future treatments may include innovative delivery methods.

    Chapters

    00:00 Introduction to MASH and Semaglutide Study

    04:29 Understanding Metabolic Dysfunction and Its Implications

    08:02 Essence Trial: Semaglutide's Impact on MASH

    12:58 Comparative Analysis of New Treatments for MASH

    17:30 The Future of Obesity Treatment and Drug Accessibility

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    22 mins
  • Top 5 Women's Fitness Myths
    Apr 25 2025

    Drs. Karl and Spencer chat with return guest Dr. Lauren Semple about creatine, protein, cortisol, fasting exercise, and training in women.

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    37 mins
  • GLP-1 and metabolism and depression
    Apr 11 2025

    Drs. Karl and Spencer discuss a new study looking at tirzepatide and metabolic rate. They also discuss a patient case of tirzepatide induced anhedonia.

    Here is the tirzepatide study

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    25 mins
  • Do GLP-1 meds cause more fat cells?
    Mar 19 2025

    Drs. Karl and Spencer discuss the claim that GLP-1 meds cause more fat cells.

    Learn about if and how GLP-1 meds increase fat cells and what that means along with other claims about these medicine.

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    26 mins
  • Future of medicine - Direct Care
    Mar 11 2025

    Drs. Karl and Spencer talk to Dr. Kenneth Qiu all about direct medical care - the future of medicine.

    Learn about how bypassing insurance and creating a relationship directly with a doctor can improve your health and save money in the long run.

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    23 mins
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